Injection Practices in the Developing World - Results and Recommendations from Field Studies in Uganda and Indonesia - EDM Research Series No. 020
(1996; 157 pages) Voir le document au format PDF
Table des matières
Afficher le documentExecutive summary
Afficher le documentAcknowledgements
Ouvrir ce répertoire et afficher son contenu1. Introduction
Ouvrir ce répertoire et afficher son contenu2. Towards a rapid assessment methodology for injection practices research
Ouvrir ce répertoire et afficher son contenu3. Background: the social and cultural context of injections
Fermer ce répertoire4. The prevalence of injection use in Uganda and Indonesia
Afficher le document4.1 Health care context in Uganda and Indonesia
Afficher le document4.2 Prevalence of injection use at the household level
Afficher le document4.3 Illness-related injection use at the household level
Afficher le document4.4 Type of injections
Afficher le document4.5 Injection use by age and sex
Afficher le document4.6 Source of injections
Afficher le document4.7 Injection rates at health facilities
Afficher le document4.8 The distribution channels of injections
Afficher le document4.9 Conclusion
Ouvrir ce répertoire et afficher son contenu5. The popularity of injections in Uganda and Indonesia
Ouvrir ce répertoire et afficher son contenu6. The appropriateness of injection use in Uganda and Indonesia
Ouvrir ce répertoire et afficher son contenu7. Conclusions and recommendations
Afficher le documentReferences
Ouvrir ce répertoire et afficher son contenuAppendix 1: Indicators for injection use and for assessment of hygienic practices
Ouvrir ce répertoire et afficher son contenuAppendix 2: Methods applied in the injection practices research
Ouvrir ce répertoire et afficher son contenuAppendix 3: Tools used in the injection practices research
 

4.4 Type of injections

The vast majority of all injections given in the households in both countries were therapeutic injections, as calculated with Indicator Ib:

The following categories of types of injections were identified:

• therapeutic injections
• infusions (large volumes)
• contraceptives
• immunizations

In Uganda, no infusions, contraceptive injections or immunizations were recorded to have been received in the households, the vast majority being therapeutic injections (Figure 6). Of the households in Busoga where one or more injections were received in the confined two week period, in 94% of the cases (87/93) the injections were of a therapeutic nature. In Ankole, data is only available for the first visit: 85% of these households (96/113) had received a therapeutic injection. In Ankole more immunizations (17/113; 15%) were reported than in Busoga (6/93; 6%) (p=0.05).

In Indonesia, data is available for all injections received in the households visited (Figure 7). In Lebak, 172 households reported 234 injections in the past two weeks. In Lombok, in 182 households a total of 24020 injections were recorded. Over 90% of these injections were of a therapeutic nature, followed by some 3 to 4% of immunizations. Some infusions and contraceptive injections were also reported. There are no differences between the districts.

20One patient was given two different types of injections. Therefore the number of patients injected in Lombok is 239, while the number of injections amounts to 240.

In Thailand, therapeutic injections also formed the majority of injections reported in the households (WHO/DAP/94.8:41). Interestingly, intravenous infusions were quite popular in the Thai village: in 12 of 63 households infusions (19%) were received. Many of the people who received IV fluid also received injections, either separately or together with the IV fluid.


Figure 6. Type of injections (Percentage of injections received by type - Household study - Uganda) - Busoga


Figure 6. Type of injections (Percentage of injections received by type - Household study - Uganda) - Ankole

N = all households which received injections in past two weeks
Busoga n=93; Ankole n=113


Figure 7. Type of injections (Percentage of injections received by type - Household study - Indonesia) - Lebak


Figure 7. Type of injections (Percentage of injections received by type - Household study - Indonesia) - Lombok

N = all households which received injections in past two weeks
Lebak n=234; Lombok n=240

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